KELLY WILSON BENJAMIN (NPI# 1609380567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609380567 |
| Entity Type | Individual |
| Full Name | KELLY WILSON BENJAMIN |
| Credential | LPC |
| Practice Address |
1821 Pickens St Columbia SC 29201-2630 |
| Mailing Address |
380 Canal Place Dr Columbia SC 29201-1556 |
| Practice Telephone | 8036224458 |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2019-02-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
7045 | SC | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
6522 | SC | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
7045 | SC | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
6522 | SC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821276460 | Kelly Lynne Benjamin | Case Manager/Care Coordinator | 942 E Chapman Ave, Orange, CA 92866-2109 | 2008-02-06 |
| Street Address |
1821 PICKENS ST |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29201-2630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669439352 | James Blakely Gordon | Counselor | 1821 Pickens St, Columbia, SC 29201-2630 | 2006-04-27 |
| 1386136687 | Palmetto Mental Health Counseling, LLC | Counselor | 1821 Pickens St, Columbia, SC 29201-2630 | 2018-06-01 |
| 1801198072 | Stephanie Bowman Counseling, LLC | Counselor | 1821 Pickens St, Columbia, SC 29201-2630 | 2010-11-22 |
| 1528280435 | Michal Rubin Ph.d. Lpc | Counselor | 1821 Pickens St, Columbia, SC 29201-2630 | 2007-05-02 |
| 1811040777 | Melanie A. Trimble | Counselor | 1821 Pickens St, Columbia, SC 29201-2630 | 2007-01-22 |
| 1609954528 | Michelle D. Trask | Social Worker | 1821 Pickens St, Columbia, SC 29201-2630 | 2006-11-01 |
| 1255380598 | Michal Rubin | Counselor | 1821 Pickens St, Columbia, SC 29201-2630 | 2006-05-05 |
| 1730137456 | Wendy K Graham | Counselor | 1821 Pickens St, Columbia, SC 29201-2630 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049421 | Souzan Moslehshirazi | Behavior Technician | 1320 Main Street Suite 300, Colombia, SC 29201 | 2020-10-02 |
| 1295353936 | Kayla Faylyn Nicole Mckenzie | Specialist/Technologist | 1905 Southern Drive, Unit 1905a, Columbia, SC 29201 | 2020-07-09 |
| 1548887128 | Casania's Caring Hands,llc | Home Health Aide | 1113 Belleview Street, 105, Columbia, SC 29201 | 2020-06-30 |
| 1639719909 | Benjamin Clark Watson | Acupuncturist | 1825 Sumter St., Columbia, SC 29201 | 2020-01-14 |
| 1588217574 | Aneika Daley | Specialist/Technologist | 1211 Wheat St, Columbia, SC 29201 | 2019-07-19 |
| 1447803531 | Gillian Taylor Shaughnessy | Specialist/Technologist | 147 South Marion St, Columbia, SC 29201 | 2019-07-18 |
| 1417417619 | Maria Nelson | Behavior Technician | 320 Main St Suite 300, Columbia, SC 29201 | 2019-03-22 |
| 1679041297 | Nathaniel Carl Stocker | Nurse Practitioner | 1614 Main Street, Suite C, Sc House Calls Inc, Columbia, SC 29201 | 2018-11-13 |
| 1558852855 | The Practice | Family Medicine | 1910 Gregg Street, Columbia, SC 29201 | 2018-05-22 |
| 1871095836 | Kadesjah Samuels | Behavior Technician | 1320 Main Street, Suite 300, Columbia, SC 29201 | 2018-03-06 |
| Find all providers in zip 29201 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305205 | Jacqueline Justiniano Myers | Counselor | 7161 Columbia Gateway Dr Ste D, Columbia, MD 21046-2617 | 2020-10-27 |
| 1518565928 | Family and Individual Therapeutic Healing LLC | Counselor | 300 Long Pointe Ln Ste 220-b, Columbia, SC 29229-7543 | 2020-10-16 |
| 1093321150 | Cynthia Roark | Counselor | 1021 Pinnacle Point Dr Ste 120, Columbia, SC 29223-5740 | 2020-09-23 |
| 1033722871 | Laine Jones | Counselor | 455 Saint Andrews Rd # Suittec1, Columbia, SC 29210-4486 | 2020-08-30 |
| 1952914988 | Oprah Ingram | Counselor | 9570 Two Notch Rd Ste 8, Columbia, SC 29223-4309 | 2020-08-28 |
| 1093339897 | Bryant Rogers | Counselor | 2 Hempstead Pl, Columbia, SC 29229-7762 | 2020-06-08 |
| 1821627498 | Christi Stewart | Counselor | 1809 Atascadero Dr, Columbia, SC 29206-1413 | 2020-04-06 |
| 1316577299 | Chandra Hope Mossine | Counselor | 2012 Cherry Hill Dr Ste 102b, Columbia, MO 65203-5882 | 2020-01-20 |
| 1871132233 | Patricia Dudley | Counselor | 6659 Buckstone Ct, Columbia, MD 21044-4103 | 2020-01-03 |
| 1871139790 | James Roland Blucher | Counselor | 10545 Jason Ln, Columbia, MD 21044-2212 | 2019-11-26 |
| Find all providers in COLUMBIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.